Organization Active NPI

Victory Behavioral Center LLC

  • Community/Behavioral Health Agency
  • Biloxi, MS
National Provider Identifier
1861126310
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VICTORY BEHAVIORAL CENTER LLC
Practice address
296 Beauvoir Rd Ste 100-1311
Biloxi, MS 39531-4051
Phone
(985) 778-7553
NPI assigned
Jul 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Denise JohnsonNPI 1437771771
Title
Board Certified Behavior Analyst
Phone
(985) 778-7553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

296 Beauvoir Rd Ste 100-1311
Biloxi, MS 39531-4051

Mailing address

296 Beauvoir Rd Ste 100-1311
Biloxi, MS 39531-4051
Phone (985) 778-7553

National Provider Directory

National Provider Directory

Locations

296 Beauvoir Rd
Ste 1001311
Biloxi, MS 39531
Phone (228) 707-4417

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1861126310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 BEAUVOIR RD STE 100-1311",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314051",
            "telephone_number": "985-778-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 BEAUVOIR RD STE 100-1311",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314051",
            "telephone_number": "985-778-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "985-778-7553"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.